【摘要】 目的：探讨采用输尿管镜碎石治疗输尿管结石合并脓肾的体会。方法：选择2009年5月-2011年10月在笔者所在科室接受诊治的18例输尿管结石合并脓肾患者，均采用输尿管镜下碎石取石术，并置管内引流。结果：采用微创内引流术中均未出现败血症、感染性休克症状。12例随访3个月～2年，所有患肾功能均有不同程度的恢复，无因患肾无功能而采取切肾者。结论：早期诊断、及时引流、解除梗阻是输尿管结石合并脓肾治疗的关键。输尿管镜碎石并留置双J导管是较好的解除梗阻的方法，其安全、并发症较少，可为Ⅱ期手术治疗创造良好的条件。

    【关键词】 输尿管镜； 碎石术； 输尿管结石； 脓肾

    Treatment of Pyonephrosis Due to Ureteral Calculi with Ureteroscopic Lithotripsy/SHAN Dou-lian， TU Min-qi.//Medical Innovation of China，2012，9(12)：027-028

    【Abstract】 Objective： To improve the treatment of pyonephrosis due to ureteral calculi with ureteroscopic lithotripsy. Methods： 18 patients with pyonephrosis due to ureteral calculi were treated with ureteroscopic lithotripsy followed by tube internal drainage during May 2009 to October 2011. Results： No complications as septicemia and septic shock occurred during the external drainage. Following up from 3 months to 2 years showed that all of the 12 cases renal function recovered to different degree ......